What should be done after a physician requests a pharmacy consult for TPN?

When a physician requests a pharmacy consult for TPN (Total Parenteral Nutrition), it is essential to first review the patient's current progress notes and lab results. This process allows the pharmacist to assess the patient's nutritional status, laboratory values, and any potential issues that may need to be addressed before entering the TPN order. By understanding the patient's medical history and current health metrics, the pharmacist can ensure that the TPN formulation will meet the patient's specific needs and avoid any contraindications.

This thorough review is critical because TPN can significantly impact a patient’s metabolic state, and preparation requires careful consideration of the patient's individual circumstances, such as existing medical conditions, electrolyte imbalances, and other factors that may influence how TPN should be tailored. Collecting this information helps ensure patient safety and optimal therapeutic outcomes.

While entering the TPN order, notifying nursing staff, and preparing for discharge are all important tasks that may follow the consult, they rely heavily on the foundational understanding derived from the patient's current status, making the review of progress notes and labs the appropriate first step in this scenario.